Carroll Community College

Division of STEM, Nursing and Allied Health

Department of Nursing
NURS 242 – Nursing Concepts Clinical 4
SUMMATIVE Student Clinical Performance Evaluation

Student Heather Winkler Date 4/2/2020 Week # Faculty Professor Barley

Criteria: S = Satisfactory N = Needs Improvement U = Unsatisfactory NA = Not (*) Critical
(Meets) (Requires assistance) (Unable) applicable behavior
Students who meet any of the following criteria will be given a remediation plan and may be placed on probation.
Failure to progress in these areas may result in failure of the course.
-One unsatisfactory grade in a critical behavior -Two needs improvements in a critical behavior
-Two unsatisfactory grades in a non-critical behavior -Four needs improvements
Instructor
Student Eval of
Course Goal 1 Self-Eval Student
Use the nursing process to optimize client health (PG1) S/N/U S/N/U
1. Prioritizes and completes daily nursing tasks S S
2. Completes assessments accurately S S
3. Uses EMR/MAR, patient charts, handoff report to provide care S S
4. *Establishes appropriate nursing priority list S S
5. Creates measurable patient outcomes S S
6. Establishes appropriate nursing interventions S S
7. Evaluates patient response to care and revises plan as needed S S
Instructor
Student Eval of
Course Goal 2 Self-Eval Student
Assimilate into the profession of nursing (PG2) S/N/U S/N/U
8. Adheres to dress code S S
9. Seeks input from patient, instructor, and healthcare team when providing care S S
10. *Demonstrates accountability and accepts responsibility for own actions and attitudes S S
11. Actively participates in all clinical experiences S S
12. Communicates learning needs to instructor S S
13. Completes assignments/evaluations as required S S
14. Demonstrates initiative in assisting peers and healthcare team members S S
Instructor
Student Eval of
Course Goal 3 Self-Eval Student
Provide patient-centered care (PG3) S/N/U S/N/U
15. *Implements appropriate infection control precautions S S
16. Identifies client’s cultural needs S S
17. Accurately documents patient care S S
18. Communicates appropriately with patient, family, healthcare team, and instructor S S
19. Explains the actions, side effects, and nursing implications of medications S S
20. *Administers medication using the six rights S S
21. Demonstrates concern, compassion and empathy with patients S S
22. *Demonstrates physical and mental competence S S
23. *Notifies instructor and appropriate healthcare team members with safety concerns and changes S
in the patient’s condition S
24. Identifies patient and family health education needs S S
25. Provides nursing care in accordance with the Maryland Nurse Practice Act and the ANA Scope & S
Standards of Nursing Practice S
26. *Adheres to HIPAA guidelines S s

Criteria: S = Satisfactory N = Needs Improvement U = Unsatisfactory NA = Not (*) Critical

(Meets) (Requires assistance) (Unable) applicable behavior

Approved 12/4/14. Revised 12/10/2014; 01/2015; 3/16/18, 1/2020

 Carroll Community College
Division of STEM, Nursing and Allied Health
Department of Nursing
NURS 242 – Nursing Concepts Clinical 4
SUMMATIVE Student Clinical Performance Evaluation

Instructor
Student Eval of
Course Goal 4 Self-Eval Student
Engage in evidence-based practice (PG4) S/N/U S/N/U
27. Critiques current practice based on evidence S
S
Student Reflection (Thoroughly answer all questions)
How has this clinical rotation helped to define your role as a nurse? Please explain.

This clinical rotation allowed me to experience what nursing is like in a shock trauma unit. I was able to continue to integrate skills
and knowledge I’ve gained throughout my time in the program.

Which objective did you accomplish during this rotation? How did you do it?

During this rotation, I was able to accomplish many objectives relating to both patient care and as a nursing student. I was able to
use critical thinking regarding patients and function as a collaborating team member, implementing compassionate care and
utilizing time management.

What are your goals for your next clinical rotation?

My next clinical rotation will be different from what we’ve been experiencing throughout the nursing program. The rest of our
clinical rotations will be online using a virtual experience. My goal is to continue to learn to work as a nurse and be able to
graduate feeling that I’m ready to provide safe and effective nursing care.

Faculty Comments/ Student Learning Goals (Goals must be established even if performance is satisfactory. If an item was
identified as N or U, narrative comments are necessary to clarify student performance along with goals to improve performance).

My goal is to continue using critical thinking to help discern the appropriate care to provide for patients. Even though we will be
working in a virtual setting, I’m hoping this will continue to provide me with the knowledge and skills I need to be a good nurse.

Heather, I think you continued to grow into the RN role throughout this clinical rotation. I saw you have increased comfort and
confidence in caring for patients. You were able to practice prioritization, delegation, and medication administration frequently and
were able to incorporate clinical knowledge into your practice. At this time you have met course outcomes and are prepared to
begin practicing as a new graduate RN shortly! Congratulations!

**Student Signature: Heather Winkler Date: 4/2/2020

**Instructor Signature: Katelyn A Barley MSN RN Date: 4/9/2020

** Typing your name and date here will verify as an electronic signature.

Definitions:
Coaching – Faculty guides student to define objectives, set goals, and develop action plans through collaboration in the decision-making process
Assistance – Student unable to perform task independently; needs some aid or minimal direction from faculty to complete tasks. Not autonomous but does not
require coaching.
Resource - Faculty serves as a facilitator but student is capable of completing self-directed tasks.
Approved 12/4/14. Revised 12/10/2014; 01/2015; 3/16/18, 1/2020